| NPI | 1336232206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 1996) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 0038) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |